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Home My WebLink AboutPermit Building 1998-12-28 ;. Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 981563 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 665 MAIN ST Assessors Map #: 17033531 Tax Lot #: 10100 Owner: BURGE LIMITED PTNRSP Address: 450 COUNTRY CLUB ROAD Phone #: 683-9001 City/State/Zip: EUGENE, OREGON 97401 Description Of Work: ADD TWO RESTROOMS REMODEL Value: 0.00 Name Architect: DEAN MORRIS , Address Phone Contractor Canst. Contractor # Expires Phone Electrical: LEE BUILT PO BOX 21437 EUGENE OR SCOFIELD PO BOX 2765 EUGENE OR 0037870 974020408 0038702 974020000 10/10/99 688-2042 General: 12/21/99 686-8612 PLUMBING --- No. 6 Fee Charge 60.00 Single Fixture TOTAL PERMIT 60.00 --- MECHANICAL --- No. 2 Fee Charge 15.00 10.00 Vent Fan/Single-Duct Permit Issuance TOTAL PERMIT 25.00 QUAD AREA: 2CNWD -- OFFICE USE -- LAND USE: 5300 Item RESTROOM REMODEL Square Feet x $/Square Feet Value 15,000.00 TOTAL VALUE OF PROJECT 15,000.00 BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin 110.50 8.85 25.00 1. 20 , S~INaFIELD Job Number: 981563 Page 2 PLUMBING Surcharge/Admin CITY SDC FEES PLAN REVIEW FEE 60.00 4.80 1,088.93 71.83 SUBTOTAL PERMITS 1,371.11 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 1,371.11 /Ji.e4:r/V~L ?EV7~;'T ~.~y I 8jf/ 7. b~ REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m will be made the following work day. Special Inspections: In accordance with a special inspector shall be employed by construction of any following n*1I work. shall be furnished to Building Safety. Section 306 of the State Specialty Code the Owner/Contractor during A copy of the special testing reports In addition to the inspections specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. UNDERFLOOR PLUMBING - Prior to insulation or decking. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. DRYWALL - Prior to taping. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. --- ADDITIONAL COMMENTS --- Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 12/24/98 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of p} ns il remain he site at all times during construction. '--?' 8,~ J;( ~?1-j?t: 'Date . SPRINGFIELD Job Number: 981563 --- VALIDATION Receipt Number: ~2 '=3~? Date Paid: J '2 '2B~'3~ Amount Received: /'1'/7. "7~ .1Y~~, CC.cc7. Received By: ~ . :'~ .- Page 3 '. .., JOURNAL OR JOB NO. S7).?.(~~.r . ATIACHMENT A . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: gU/"&f.e. !.J~'fed Q..JAP'.#s4.'P ~ / LOCATION: &~~? /~';., ~. DEVELOPMENT TYPE: L./d 2 r6'ifrCMH-l<; ..j.,,; P1c6. -z;.h,.,br BUILDING SIZE: LOT SIZF <;Q. Ft. 1. STORM DRAINAGE - A.6 CI~Y' IMPERVIOUS SQ. FT. X $0.227 PER SQ. FT. $ ~ 2. SANITARY SEWER-CITY NO. OF PFU'S ~;Z (See Reverse Side) 3. TRANSPORTATION -~ ~~ NO OF UNITS X TRIP ,RATE X COST PER ,TRIP X $47.14 PER PFU 08 $/(),?/~ X X $475.32 $ .-0 , ~ X "X $475.32 4. SANITARY SEWER-MWMC ~ Ab c4~ A. REIMBURSEMENT COST: 0 $ NO. OF FEU'S X PER FEU $~ B. IMPROVEMENT COST: NO. OF FEU'S X PER FEU $ ....c:J>- MWMC CREDIT,IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ > $ 10 00 TOTAL-MWMC SDC $~ 08 $~03')- B~ $JJ'/ - SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ /4-~~ ' Date:...lp~~ ~ SD~Coerdinator )7u ATTACH'A.WPD . TOTAL sac $ ) 088 21- , FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate o.e NET additional fixtureS). ,. " .. , NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub................................,.................................... . Drinking Fountain......................... ...................,........ Floor Drain...................................... ..................,....... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher......,..... ....................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailerl.................. Receptor For Refrigerator/Water Station/Etc........ Receptor For.Commercial Sink/Dishwasher/Etc.. Shower, Sin91e Stal!..............,.................................. Shower, Gan9.......................................................... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall............................. .......................... Wash Basin/Lavatory, Sin9Ie.................................. Toilet, Public Installation........................................ Toilet, Private....................................................... Miscellaneous: I :.L' .? 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: calculate credits separates. I I, :< ~ .//1 d02 Based on assessed value. If improvements occurred after annexation date in table, , Rate per $1,000 Assessed Value Year Annexed Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1989 1990 1991 1992 1993 1994 1995 1996 1997 Credit for Parcel or Land Only If Applicable X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 Commerical......................... 0.9 Industrial............................ 05 Governmental...................... 0.5 FIXUNIT.WPO IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $1.98 1.55 1.15 0.96. 0.83 0.67 0.52 0.38 0.21